| Thomas R White, CRNP | |
|
130 N Main St, Union City, PA 16438-1068 | |
| (814) 438-7208 | |
| (814) 438-8062 |
| Full Name | Thomas R White |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 130 N Main St, Union City, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518928340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | VP005750B (Pennsylvania) | Primary |
| Entity Name | St Vincent Medical Education And Research Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
| Entity Name | Ahn Emergency Group Of Erie County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336564798 PECOS PAC ID: 3072746585 Enrollment ID: O20140508000746 |
| Entity Name | Ahn Observation Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R White, CRNP 153 E 13th St Ste 1300, Erie, PA 16503-1035 Ph: () - | Thomas R White, CRNP 130 N Main St, Union City, PA 16438-1068 Ph: (814) 438-7208 |
Brittany A Polley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E High St, Union City, PA 16438 Phone: 814-438-2088 Fax: 814-438-2089 |